Contraceptive fact sheet Kisumu CRS, Kenya Beatrice Nyagol CAT - PowerPoint PPT Presentation

Contraceptive fact sheet Kisumu CRS, Kenya Beatrice Nyagol CAT Presentation 24 th September 2016

Overview  Background-Kisumu CRS  Family planning situation –Kenya  Adolescent Contraception services  Barriers/Myths/Misconceptions  Clinical Guidelines for contraceptive provision  Summary

Modern Contraceptives in Kenya  Surgical Contraception  Female Sterilization  Male Sterilization  IUCD (LNG20-IUS/Copper-based)  Hormonal  Oral Pills(COCs/POPs/ emergency Pills)  PO Implants(Jadelle, Implanon,)  Injectables (DMPA,NET-EN)  Barrier methods( male and female condoms)

Family Planning Status  Knowledge of at least one contraceptive method is universal in Kenya  More than half of currently married women are using a contraceptive method (58%) and sexually active unmarried women accessing contraceptives is 65%  Nationally 15% of women 15-19 years have already given birth  In Nyanza 22% of 15-19 years have given birth, median age for first birth is 18.7 years Kenya Demographic Health Survey,2014

Preferred Methods among women % of women sexually active *(unmarried) and all women and contraceptive choice (KDHS 2014) Pill Injectable Implants IUDs 15-19 Yrs* 1.8 14.3 6.0 0.0 20-24 Yrs* 12.2 13.4 1.5 0.0 15-49 Yrs 8.0 26.4 9.9 3.4 Knowledge on emergency contraception was 60% among women • aged 15-49 years ,whereas it was 73.6 among sexually active unmarried women There is a steady increase in the uptake of the more long term • methods, IUDs and Implants but this is more in women aged 25 years and above

Barriers to access Unmet need for FP among adolescents and younger women due to barriers include;  Women’s needs and preferences  Stigma to access FP services  Cost of services  Knowledge on availability of services  Relationship status  Unable to negotiate for safe sex options  Complex Socio-behavioral – perception of their social network approval of FP

Myths and Misconceptions  Implants  Side effects(Infertility, Birth defects)  *Can be easily found/seen  IUCDs  Causes abortions  Causes Infections including cancer  Promiscuity  Pregnancy while in place  IUD getting lost

Contraceptive Adherence  31% of contraceptive users discontinue use of the method within 12 months of starting its use  IUDs (6 percent)  Implants (8 percent)  The pill (22 percent)  11% of episodes of discontinuation occurred because of side effects or health concerns, and 5% because the woman wanted to become pregnant KDHS ,2014

Policy context  The Kenyan policy on youth contraception is not explicit, resulting in different institutional and individual policies  It can also be sighted for the popularity of the less restrictive commercial service sources over health institution-based facilities that otherwise offer more comprehensive services

Policy Context

Summary  Unmet need for FP among adolescent girls and young women needs to be bridged  Use of long acting methods needs to be promoted  Newer methods that are more user friendly and female controlled e.g vaginal rings are much needed  MOH needs to provide youth focused services

Asante Sana Questions?